Mid-Florida Prosthetics & Orthotics – Prosthetic/Orthotic Supplier, NPI 1871747386

Mid-Florida Prosthetics & Orthotics is a healthcare provider. based in Leesburg, Florida. specializing in Prosthetic/Orthotic Supplier. The NPI Number for Mid-Florida Prosthetics & Orthotics is 1871747386

Main info

Organization
Name
Mid-Florida Prosthetics & Orthotics
NPI
1871747386
Phone
(352) 435-4500
Address
601 E DIXIE AVE STE 806
Authorized Official
MR. VICTOR BUSTAMANTE PRESIDENT CPO
Enumeration Date
11 November 2008
Last Update Date
7 August 2020
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness80
Years active:17State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Mid-Florida Prosthetics & Orthotics

  • 601 E DIXIE AVE STE 806

    LEESBURG, FL 347485994

    Phone: (352) 435-4500

    Fax: (352) 435-4561

    Type: Location

  • 401, Southeast 17th Street, Ocala, Marion County, Florida, 34471, United States

    OCALA, FL 344719140

    Phone: (352) 352-3207

    Fax: (352) 351-3267

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-09-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2025-06-30 (348 days ago).

Enrollment records

1

Earliest due date

2025-06-30

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20100930084020OProsthetic PersonnelFL2025-06-30

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34748)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for Mid-Florida Prosthetics & Orthotics?
Mid-Florida Prosthetics & Orthotics — NPI 1871747386 — is the standard way to identify this listing.
Can I rely on Mid-Florida Prosthetics & Orthotics being an active provider?
As of the registry snapshot, Mid-Florida Prosthetics & Orthotics is marked active.
What taxonomy line describes Mid-Florida Prosthetics & Orthotics?
For research purposes, treat Mid-Florida Prosthetics & Orthotics as Prosthetic/Orthotic Supplier in this dataset. Clinical services aligned with this taxonomy classification.
Where is Mid-Florida Prosthetics & Orthotics based?
Mid-Florida Prosthetics & Orthotics is tied to Leesburg, Florida in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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